{"id":176237,"date":"2026-08-12T11:44:08","date_gmt":"2026-08-12T11:44:08","guid":{"rendered":"https:\/\/pabau.com\/?p=176237"},"modified":"2026-08-12T12:12:57","modified_gmt":"2026-08-12T12:12:57","slug":"cpt-code-21497","status":"publish","type":"post","link":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-21497\/","title":{"rendered":"CPT code 21497: Interdental wiring, modifiers, and reimbursement"},"content":{"rendered":"\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"MedicalWebPage\",\"headline\":\"CPT code 21497: Interdental wiring, modifiers, and reimbursement\",\"description\":\"CPT code 21497 covers interdental wiring for conditions other than fracture. Learn modifiers, RVU values, ICD-10 pairings, and documentation requirements.\",\"url\":\"https:\/\/pabau.com\/procedure-codes\/cpt-code-21497\/\",\"audience\":{\"@type\":\"MedicalAudience\",\"audienceType\":\"Clinician\"},\"reviewedBy\":{\"@type\":\"Person\",\"name\":\"Dr Vanja Kitanova\",\"jobTitle\":\"Medical Reviewer\",\"affiliation\":{\"@type\":\"Organization\",\"name\":\"Pabau\"},\"knowsAbout\":[\"Medical Coding\",\"Clinical Documentation\",\"Healthcare Billing\",\"Clinical Safety\"],\"sameAs\":\"https:\/\/pabau.com\/blog\/author\/vanja\/\"},\"datePublished\":\"2026-08-07\",\"dateModified\":\"2026-08-12\"}<\/script>\n\n\n        <div id=\"key_takeaways\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/12\/Key-Takeaways-Icon.svg\" alt=\"Key takeaways\" height=\"42\" width=\"42\">\n                                <h3>Key takeaways<\/h3>\n            <\/div>\n            <div class=\"list\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>CPT code 21497 reports interdental wiring for conditions other than fracture, such as TMJ disorders and orthognathic surgery preparation.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Modifier -22 covers unusual complexity, and modifier -59 separates the wiring from a bundled head or neck procedure.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Modifiers -LT and -RT rarely apply, because interdental wiring is a midline procedure.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>The most common denial trigger is a missing non-fracture indication in the operative note.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#3D3D46\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p>Practice management software like Pabau links the operative note, the ICD-10 code, and the claim in one workflow.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<p class=\"wp-block-paragraph\">CPT code 21497 is the surgical code for interdental wiring performed for a condition other than fracture. The official descriptor from the <a href=\"https:\/\/www.ama-assn.org\/practice-management\/cpt\/cpt-code-set-overview\" target=\"_blank\" rel=\"nofollow noopener\">American Medical Association<\/a> reads: Interdental wiring, for condition other than fracture.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The code closes the head fracture and dislocation range, CPT 21315 through 21497. Every other code in that family assumes a fracture or a dislocation. That makes 21497 the only option for therapeutic wiring on an intact jaw.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">One rule shapes almost every 21497 denial. The wiring has to treat something other than a fracture, and the operative note has to say so in plain terms.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The quick-reference table below summarizes the essential code information.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Field<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Detail<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">CPT code<\/td>\n<td style=\"padding:12px 16px;color:#374151\">21497<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Short descriptor<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Interdental wiring, non-fracture<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Long descriptor<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Interdental wiring, for condition other than fracture<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code type<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Surgical CPT, Category I<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Code family<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Musculoskeletal system, head fracture and dislocation procedures (21315-21497)<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Global period<\/td>\n<td style=\"padding:12px 16px;color:#374151\">090 days (major surgery)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<figure class=\"wp-block-embed is-type-video is-provider-youtube wp-block-embed-youtube wp-embed-aspect-16-9 wp-has-aspect-ratio\"><div class=\"wp-block-embed__wrapper\">\n<iframe title=\"CPT Coding Pitfalls Every Medical Practice Faces\" width=\"800\" height=\"450\" src=\"https:\/\/www.youtube.com\/embed\/vbvV5okdXKg?feature=oembed\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture; web-share\" referrerpolicy=\"strict-origin-when-cross-origin\" allowfullscreen><\/iframe>\n<\/div><\/figure>\n\n\n\n<h2 id=\"h-clinical-indications-for-cpt-21497\" class=\"wp-block-heading\">Clinical indications for CPT 21497<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">The key distinction for CPT code 21497 is the absence of fracture as the driving diagnosis. Oral and maxillofacial surgeons must link the procedure to a non-fracture therapeutic indication, and that link must be explicit on every claim.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Common clinical scenarios that support billing CPT code 21497 include the following. Payer coverage policies vary, so cross-reference each indication against the applicable Local Coverage Determination before submission.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Temporomandibular joint disorders:<\/strong> Wiring applied to reduce joint load, restrict movement, or stabilize jaw position during conservative TMJ management.<\/li>\n\n\n\n<li><strong>Pre-surgical jaw stabilization:<\/strong> Temporary interdental fixation to prepare the mandible or maxilla ahead of a planned surgical procedure.<\/li>\n\n\n\n<li><strong>Orthognathic surgery preparation:<\/strong> Wiring used in the planning or pre-operative phase of corrective jaw surgery, where a separate code covers the correction itself.<\/li>\n\n\n\n<li><strong>Post-operative jaw stabilization:<\/strong> Stabilization after a soft-tissue or joint procedure where immobilization is clinically necessary and no fracture is involved.<\/li>\n\n\n\n<li><strong>Therapeutic immobilization:<\/strong> Cases where restricted jaw movement manages a musculoskeletal condition without an associated fracture diagnosis.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Many TMJ patients reach the operating room only after conservative care has been exhausted, so their record spans several providers. Practices that run oral surgery alongside <a href=\"https:\/\/pabau.com\/industry\/physical-therapy-emr\/\">physical therapy<\/a> need that history in one chart, and <a href=\"https:\/\/pabau.com\/industry\/plastic-surgery-emr\/\">maxillofacial EMR tools<\/a> keep the surgical documentation with it.<\/p>\n\n\n\n<h2 id=\"h-applicable-modifiers-and-bundling-rules\" class=\"wp-block-heading\">Applicable modifiers and bundling rules<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Modifier selection for CPT code 21497 depends on the clinical scenario and on the payer. No modifier applies universally, so confirm each one before submission.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Modifier<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Usage guidance<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-22<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unusual procedural services<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Apply when the procedure takes substantially more work than typical. Document the added complexity and the extra physician time.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-51<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Multiple procedures<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Apply when CPT 21497 is reported alongside another surgical procedure in the same session. Reduction policies vary by payer.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-59<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Distinct procedural service<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Apply when the wiring is separate from another head or neck procedure performed the same day. The note must show the separation.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-78<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unplanned return to the operating room<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Apply when the wiring is an unplanned return to the operating room during the global period of a related procedure.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-79<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Unrelated procedure during the global period<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Apply when CPT 21497 treats an unrelated condition during the global period of another procedure.<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">-LT \/ -RT<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Left side \/ right side<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Generally not applicable, because interdental wiring is a midline procedure. Confirm with the payer before appending either one.<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Bundling is the trap on this code. Under CMS National Correct Coding Initiative policy, some head and neck procedures already include the wiring. Facial fracture treatment, facial reconstructive surgery, and arthroplasty all absorb it into the primary procedure, so 21497 is not reported at all.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">When the wiring genuinely stands apart from the other procedure, modifier -59 is what tells the payer so. Tracking that across a multi-procedure session is where manual billing slips. <a href=\"https:\/\/pabau.com\/features\/automated-workflows-software\/\">Automated billing workflows<\/a> can flag a 21497 line that arrives without either a distinct-service justification or a bundling check.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/cpt-code-21497\/automate-claims-through-healthcode.webp\" alt=\"Automate claims and billing with Pabau\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s claims tools track each 21497 submission, so a missing modifier surfaces on your screen instead of on a remittance advice.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Document the clinical rationale for any modifier appended to CPT code 21497 in the operative note before you submit the claim. Payers routinely request supporting records when modifier -22 is applied. A brief note explaining the added complexity can prevent a denial or an audit flag.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-reimbursement-rates-and-rvu-values\" class=\"wp-block-heading\">Reimbursement rates and RVU values<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare reimbursement for CPT code 21497 is calculated from the <a href=\"https:\/\/www.cms.gov\/medicare\/physician-fee-schedule\/search\/overview\" target=\"_blank\" rel=\"nofollow noopener\">CMS Physician Fee Schedule<\/a>, which publishes annual RVU values and a national conversion factor. The figures below reflect the 2026 schedule and should be checked against the current file before billing, since rates change each January 1.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">RVU component<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:center;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Non-facility<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:center;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Facility<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Work RVU (wRVU)<\/td>\n<td style=\"padding:12px 16px;text-align:center;color:#374151\">5.68<\/td>\n<td style=\"padding:12px 16px;text-align:center;color:#374151\">5.68<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Practice expense RVU (PE RVU)<\/td>\n<td style=\"padding:12px 16px;text-align:center;color:#374151\">5.22<\/td>\n<td style=\"padding:12px 16px;text-align:center;color:#374151\">1.89<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Malpractice RVU (MP RVU)<\/td>\n<td style=\"padding:12px 16px;text-align:center;color:#374151\">0.72<\/td>\n<td style=\"padding:12px 16px;text-align:center;color:#374151\">0.72<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Total RVU<\/td>\n<td style=\"padding:12px 16px;text-align:center;color:#374151\">11.62<\/td>\n<td style=\"padding:12px 16px;text-align:center;color:#374151\">8.29<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Conversion factor (2026)<\/td>\n<td style=\"padding:12px 16px;text-align:center;color:#374151\">$33.40<\/td>\n<td style=\"padding:12px 16px;text-align:center;color:#374151\">$33.40<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Estimated national average payment<\/td>\n<td style=\"padding:12px 16px;text-align:center;color:#374151\">~$388.11<\/td>\n<td style=\"padding:12px 16px;text-align:center;color:#374151\">~$276.89<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The $33.40 conversion factor applies to clinicians who are not qualifying APM participants. Qualifying participants are paid on a slightly higher factor of $33.57, which lifts both figures above.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">These national averages sit before any geographic adjustment. Use the <a href=\"https:\/\/fastrvu.com\/tools\/rvu-lookup\" target=\"_blank\" rel=\"nofollow noopener\">FastRVU lookup tool<\/a> to see location-adjusted reimbursement for your MAC jurisdiction. Commercial payers negotiate their own fee schedules independently of the Medicare fee schedule.<\/p>\n\n\n\n<h2 id=\"h-medicare-coverage-and-payer-considerations\" class=\"wp-block-heading\">Medicare coverage and payer considerations<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Medicare covers CPT code 21497 when medical necessity is clearly established and the non-fracture indication is documented. Coverage is not automatic. The procedure has to meet the criteria set by the applicable Medicare Administrative Contractor, and the relevant Local Coverage Determinations should be reviewed first.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Key considerations for Medicare and commercial payer submissions:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Non-fracture indication required:<\/strong> The claim diagnosis must not be a fracture code. A fracture diagnosis conflicts with the descriptor and triggers a denial or an edit.<\/li>\n\n\n\n<li><strong>LCD variability:<\/strong> Coverage policies for TMJ-related procedures vary by MAC jurisdiction. Check the applicable Local Coverage Determination before submitting.<\/li>\n\n\n\n<li><strong>Pre-authorization:<\/strong> Many commercial payers require prior authorization for surgical procedures in the 21xxx range. Confirm with the patient&#8217;s plan before scheduling.<\/li>\n\n\n\n<li><strong>Place of service:<\/strong> Procedures performed in a hospital operating room or an ASC use facility rates. In-office procedures use the higher non-facility rates.<\/li>\n\n\n\n<li><strong>Global period:<\/strong> The 090-day global period bundles post-operative care into the payment. Billing E\/M services separately for routine post-op care will be denied.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Denials on a low-volume surgical code rarely stay isolated, and a repeated 21497 rejection shows up in the month&#8217;s collections. Folding that risk into <a href=\"https:\/\/pabau.com\/blog\/medical-practice-business-plan\/\">practice financial planning<\/a> keeps a coding problem from becoming a cash-flow one.<\/p>\n\n\n\n<h2 id=\"h-icd-10-diagnosis-codes-that-support-the-claim\" class=\"wp-block-heading\">ICD-10 diagnosis codes that support the claim<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Pairing CPT code 21497 with the right ICD-10 diagnosis code is what establishes medical necessity. The codes below are the ones most often used with non-fracture interdental wiring. Payers may want something more specific, so check the current <a href=\"https:\/\/www.cms.gov\/medicare\/coding-billing\/icd-10-codes\" target=\"_blank\" rel=\"nofollow noopener\">ICD-10-CM code set<\/a> and the payer&#8217;s own policy.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">ICD-10-CM code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Description<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Clinical context<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">M26.60<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Temporomandibular joint disorder, unspecified<\/td>\n<td style=\"padding:12px 16px;color:#374151\">TMJ disorder requiring jaw stabilization without fracture<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">M26.61<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Adhesions and ankylosis of temporomandibular joint<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Ankylosis requiring therapeutic wiring for mobilization management<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">M26.69<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other specified disorders of temporomandibular joint<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Specified TMJ conditions not captured by more precise codes<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">K07.5<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Dentofacial functional abnormalities<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Functional jaw abnormality addressed through therapeutic wiring<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">Z41.1<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Encounter for cosmetic surgery<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Pre-surgical stabilization in elective orthognathic surgery. Use with caution and confirm payer coverage<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">M26.09<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Other specified anomalies of jaw size<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Jaw size anomaly requiring pre-surgical stabilization<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">The M26.6x series is where most 21497 claims live, and the sub-code matters. If conservative management fails and the joint itself is operated on, the claim moves to a different procedure code such as <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-21050\/\">CPT 21050<\/a>.<\/p>\n\n\n\n<h2 id=\"h-documentation-requirements-for-billing-cpt-21497\" class=\"wp-block-heading\">Documentation requirements for billing CPT 21497<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Vague documentation is the single largest reason CPT code 21497 claims are denied. The operative note has to justify why wiring was performed for a non-fracture condition, not simply describe the technique. The checklist below reflects standard payer expectations, and individual MACs may ask for more.<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Non-fracture diagnosis stated:<\/strong> The operative note names the clinical condition driving the procedure and confirms it is not a fracture.<\/li>\n\n\n\n<li><strong>Medical necessity narrative:<\/strong> A brief clinical rationale for choosing interdental wiring, and the therapeutic outcome it is meant to achieve.<\/li>\n\n\n\n<li><strong>Procedure description:<\/strong> A step-by-step account of how the wiring was applied, including materials and technique. It should be detailed enough to show that 21497, and not an adjacent code, matches the service.<\/li>\n\n\n\n<li><strong>ICD-10 linkage:<\/strong> Every diagnosis code on the claim maps to a documented finding in the clinical record.<\/li>\n\n\n\n<li><strong>Surgeon credentials:<\/strong> Confirmation that the performing provider holds the appropriate credentials, which matters most for oral surgery billed under medical insurance.<\/li>\n\n\n\n<li><strong>Pre-authorization reference:<\/strong> If prior authorization was obtained, the authorization number sits in the billing record.<\/li>\n\n\n\n<li><strong>Modifier justification:<\/strong> When modifier -22 or -59 is appended, the note quantifies the added difficulty or shows what made the service distinct.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Audit-ready records depend on where the note lives as much as on what it says. <a href=\"https:\/\/pabau.com\/blog\/hipaa-compliance-software\/\">HIPAA-compliant practice software<\/a> keeps the record retrievable years later, and <a href=\"https:\/\/pabau.com\/features\/patient-intake-software\/\">digital clinical forms<\/a> stop the non-fracture rationale being left to free text.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/cpt-code-21497\/digital-forms.webp\" alt=\"Pabau digital clinical forms\"\/><figcaption class=\"wp-element-caption\"><em>Pabau&#8217;s digital forms turn the operative note into a prompted template, so the non-fracture rationale is captured while the surgeon still remembers it.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n\n<h2 id=\"h-related-cpt-codes-to-know\" class=\"wp-block-heading\">Related CPT codes to know<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CPT code 21497 sits within a family of head and jaw procedure codes. Choosing the wrong one from this group is a common error pattern in oral and maxillofacial billing. The table below covers the codes most often confused with 21497 or billed alongside it.<\/p>\n\n\n\n<table style=\"width:100%;border-collapse:separate;border-spacing:0;border-radius:12px;overflow:hidden;font-size:15px;line-height:1.5;margin:1.5em 0 2em;box-shadow:0 2px 12px rgba(0,0,0,0.08)\">\n<thead>\n<tr>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">CPT code<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Descriptor<\/th>\n<th style=\"background:#121D36;color:#fff;padding:14px 16px;text-align:left;font-weight:600;font-size:14px;letter-spacing:0.3px;border-bottom:2px solid #2BADD4\">Key distinction vs. 21497<\/th>\n<\/tr>\n<\/thead>\n<tbody>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">21110<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Application of interdental fixation device for conditions other than fracture or dislocation<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Covers fixation devices such as arch bars and Ivy loops rather than wiring, and is often cited alongside 21497 in orthognathic cases<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">21400<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Closed treatment of fracture of orbit, except blowout, without manipulation<\/td>\n<td style=\"padding:12px 16px;color:#374151\">A fracture code. If a fracture is the indication, 21497 is incorrect and a fracture-specific code applies<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">21450<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Closed treatment of mandibular fracture; without manipulation<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Fracture-specific. Use it when the mandible is fractured, not when wiring is therapeutic<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0;background:#F9FAFB\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">21480<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Closed treatment of temporomandibular dislocation<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Dislocation-specific. TMJ dislocation is distinct from TMJ disorder, so verify which the diagnosis describes<\/td>\n<\/tr>\n<tr style=\"border-bottom:1px solid #E8ECF0\">\n<td style=\"padding:12px 16px;font-weight:600;color:#121D36\">21490<\/td>\n<td style=\"padding:12px 16px;color:#374151\">Open treatment of temporomandibular dislocation<\/td>\n<td style=\"padding:12px 16px;color:#374151\">An open surgical approach for dislocation, so a different procedure type and a higher complexity than 21497<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n\n\n\n<p class=\"wp-block-paragraph\">Orthognathic cases are where the code choice gets crowded. The corrective surgery carries its own code, such as <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-21122\/\">CPT 21122<\/a> for a sliding genioplasty or <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-21159\/\">CPT 21159<\/a> for LeFort III midface reconstruction. Wiring performed as part of that reconstruction is bundled rather than billed separately.<\/p>\n\n\n\n<h2 id=\"h-common-billing-errors-and-how-to-avoid-them\" class=\"wp-block-heading\">Common billing errors and how to avoid them<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Five error patterns account for most CPT 21497 rejections and audit flags. Each one is preventable at the point of coding, before the claim ever reaches a payer.<\/p>\n\n\n\n<h3 id=\"h-coding-a-fracture-indication-with-a-non-fracture-code\" class=\"wp-block-heading\">Coding a fracture indication with a non-fracture code<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">The most disqualifying error is billing CPT 21497 when the patient has a mandibular or facial fracture. If the operative report lists a fracture diagnosis, the claim conflicts with the descriptor. Use the fracture-specific codes in the 21315-21490 range instead.<\/p>\n\n\n\n<h3 id=\"h-omitting-the-non-fracture-rationale-from-the-operative-note\" class=\"wp-block-heading\">Omitting the non-fracture rationale from the operative note<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">A note that describes only the wiring technique gives the payer nothing to anchor coverage on. State the condition, why conservative management is exhausted or inappropriate, and how interdental wiring addresses it.<\/p>\n\n\n\n<h3 id=\"h-billing-21497-when-it-is-already-bundled\" class=\"wp-block-heading\">Billing 21497 when it is already bundled<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Wiring performed as part of facial fracture treatment, reconstructive surgery, or arthroplasty belongs to the primary procedure. A craniofacial reconstruction such as <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-21172\/\">CPT 21172<\/a> already includes it. Reporting 21497 on top produces an edit, and appending modifier -59 without a distinct service invites an audit.<\/p>\n\n\n\n<h3 id=\"h-incorrect-modifier-appended-without-supporting-documentation\" class=\"wp-block-heading\">Incorrect modifier appended without supporting documentation<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">Modifier -22 on a 21497 claim without a note documenting the added complexity is an audit trigger. Payers expect a written explanation of what made the procedure harder than the descriptor implies, plus an estimate of the extra time.<\/p>\n\n\n\n<h3 id=\"h-confusing-cpt-21497-with-cpt-21110\" class=\"wp-block-heading\">Confusing CPT 21497 with CPT 21110<\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">CPT 21110 covers an interdental fixation device for non-fracture conditions, while 21497 covers wiring. The two are closely related and often cited together in orthognathic cases, but they are not interchangeable. Read the operative note before selecting either one.<\/p>\n\n\n        <div id=\"pro_tip\">\n            <div class=\"img\">\n                <svg width=\"42\" height=\"42\" viewBox=\"0 0 42 42\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M12.6383 19.5238C12.6632 21.2071 12.8734 22.9926 12.0685 24.5523C11.0341 26.8917 8.45076 28.169 7.56292 30.5918C6.63082 33.1061 7.19505 36.185 9.31371 37.9786C10.929 39.5678 13.4183 39.9873 15.6061 39.5463C17.4592 39.073 19.1049 37.8388 19.9706 36.1608C20.781 34.7141 20.7866 32.9904 20.5293 31.3985C20.1006 29.3092 18.3775 27.8705 16.9807 26.362C14.8814 24.1005 14.6684 20.6854 15.595 17.8915C16.4331 15.4768 19.0026 14.2344 20.0425 11.9461C20.7202 10.6769 20.7506 9.20327 20.6068 7.81304C20.1864 5.40098 18.3139 3.23631 15.8716 2.56674C13.9742 2.03969 11.8224 2.30052 10.1739 3.37614C8.70522 4.34688 7.5878 5.86618 7.28356 7.58178C6.76081 9.82981 7.53525 12.2822 9.20307 13.9118C10.7658 15.4741 12.4806 17.2273 12.6383 19.5238Z\"\n                        fill=\"#2BADD4\" \/>\n                    <path fill-rule=\"evenodd\" clip-rule=\"evenodd\"\n                        d=\"M22.7048 19.8387C22.6822 22.3279 24.4507 24.6234 26.7493 25.4682C28.0531 25.961 29.4725 25.9183 30.7989 25.5487C32.0575 24.9955 33.301 24.2237 34.0069 23.0092C34.8384 21.5811 35.2982 19.8286 34.7832 18.2094C34.3611 16.2507 32.8739 14.6541 31.0275 13.9426C28.6736 12.9595 25.8073 13.7942 24.1719 15.7001C23.2022 16.8366 22.6143 18.3326 22.7048 19.8387Z\"\n                        fill=\"#2BADD4\" \/>\n                <\/svg>\n            <\/div>\n            <div class=\"text\">\n                <h3>Pro Tip<\/h3>\n                <p>Run a pre-submission audit on any CPT 21497 claim that carries a TMJ-related ICD-10 code. Confirm the diagnosis maps to a disorder in the M26.6x series rather than a dislocation or a fracture. A 60-second crosswalk check at coding prevents a weeks-long denial resolution.<\/p>\n            <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-how-pabau-simplifies-oral-surgery-claim-documentation\" class=\"wp-block-heading\">How Pabau simplifies oral surgery claim documentation<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Most oral and maxillofacial practices bill 21497 a handful of times a month, which is exactly why errors on it go unnoticed. A pattern usually surfaces only when a payer audit pulls a year of claims at once.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Practice management software like Pabau keeps code entry, ICD-10 pairing, modifier selection, and document attachment in one workflow. Our <a href=\"https:\/\/pabau.com\/features\/claims-management-software\/\">claims management software<\/a> shows the biller what is missing before the claim leaves, so fewer of them come back.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">On the documentation side, surgeons work from a structured operative note template. It prompts for the non-fracture rationale, the procedure steps, and any modifier justification. <a href=\"https:\/\/pabau.com\/features\/medical-records-management\/\">Medical records management<\/a> then keeps those notes searchable when an auditor asks for them two years later.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">For groups running several surgeons or sites, <a href=\"https:\/\/pabau.com\/blog\/practice-management-software\/\">practice management software<\/a> puts the same pre-submission checks in front of everyone. That consistency stops one provider&#8217;s habit from becoming the whole practice&#8217;s denial rate.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/cdn.pabau.com\/cdn\/attachments\/pulse\/content-engine\/billing_codes\/cpt-code-21497\/automated-communication-in-pabau.webp\" alt=\"Automated patient communication in Pabau\"\/><figcaption class=\"wp-element-caption\"><em>Automated messages handle post-operative follow-up through the 90-day global period, which is care you cannot bill for separately anyway.<\/em><\/figcaption><\/figure>\n\n\n\n<div style=\"height:35px;width:800px\" aria-hidden=\"true\" class=\"wp-block-spacer\"><\/div>\n\n\n        <div id=\"book_a_demo\">\n            <div class=\"left-side\">\n                <div class=\"logo\">\n                    <img decoding=\"async\"\n                        src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Logo.svg\"\n                        alt=\"Logo\"\n                        loading=\"lazy\"\n                    \/>\n                <\/div>\n\n                <h3 class=\"heading\">\n                    Reduce CPT 21497 denials with smarter billing workflows                <\/h3>\n\n                <p class=\"description\">\n                    Pabau connects clinical documentation, ICD-10 coding, and claims submission in one platform. Your billing team spends less time fixing errors and more time closing claims.                <\/p>\n\n                <div class=\"button-group\">\n                    <a href=\"\/book-demo\/\" class=\"btn btn-scale-effect btn-cta-color btn-md\">\n                        <span class=\"btn-text\">Book a demo<\/span>\n                        <div class=\"btn-icon btn-icon-right\" aria-hidden=\"true\">\n                            <svg\n                                width=\"14\"\n                                height=\"12\"\n                                viewBox=\"0 0 14 12\"\n                                fill=\"none\"\n                                xmlns=\"http:\/\/www.w3.org\/2000\/svg\"\n                            >\n                                <path\n                                    d=\"M0.75 4.77295C0.335786 4.77295 0 5.10874 0 5.52295C0 5.93716 0.335786 6.27295 0.75 6.27295V5.52295V4.77295ZM13.2803 6.05328C13.5732 5.76039 13.5732 5.28551 13.2803 4.99262L8.50736 0.219648C8.21447 -0.073245 7.73959 -0.073245 7.4467 0.219648C7.15381 0.512542 7.15381 0.987415 7.4467 1.28031L11.6893 5.52295L7.4467 9.76559C7.15381 10.0585 7.15381 10.5334 7.4467 10.8263C7.73959 11.1191 8.21447 11.1191 8.50736 10.8263L13.2803 6.05328ZM0.75 5.52295V6.27295L12.75 6.27295V5.52295V4.77295L0.75 4.77295V5.52295Z\"\n                                    fill=\"currentColor\"\n                                ><\/path>\n                            <\/svg>\n                        <\/div>\n                    <\/a>\n                <\/div>\n            <\/div>\n\n            <div class=\"right-side\">\n                <img decoding=\"async\"\n                    src=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/01\/Home-Page-Concept-4.webp\"\n                    alt=\"Pabau claims management dashboard\"\n                    loading=\"lazy\"\n                \/>\n            <\/div>\n        <\/div>\n        \n\n\n<h2 id=\"h-conclusion\" class=\"wp-block-heading\">Conclusion<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">CPT 21497 rewards precision in one place above all others. The wiring has to treat a non-fracture condition, the note has to say why, and the diagnosis code has to agree with both.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Get those three right and the rest of the claim is routine. Get them wrong and you are appealing a denial that a 60-second check would have caught at coding.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The practices that stop repeating this error build the check into the note itself, rather than into a biller&#8217;s memory. <a href=\"https:\/\/pabau.com\/book-demo\/\">Book a demo<\/a> to see how Pabau keeps oral surgery documentation and claims in step.<\/p>\n\n\n        <div id=\"expert_picks\">\n            <div class=\"header\">\n                                    <img decoding=\"async\" src=\"https:\/\/pabau.com\/wp-content\/uploads\/2025\/11\/Expert-Picks.svg\" alt=\"Continue your research\" height=\"42\" width=\"42\">\n                                <h3>Continue your research<\/h3>\n            <\/div>\n            <div class=\"content\">\n                                                            <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Coding a craniofacial reconstruction next?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-21182\/\">CPT code 21182<\/a> sets out the billing rules for cranial bone tumor reconstruction.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Seeing head and neck cases beyond the jaw?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-21720\/\">CPT code 21720<\/a> explains how torticollis surgery is reported and documented.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Billing a soft tissue excision in the neck?<\/strong> <a href=\"https:\/\/pabau.com\/procedure-codes\/cpt-code-21552\/\">CPT code 21552<\/a> covers the depth and size details that decide the code.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Want operative notes that hold up in an audit?<\/strong> <a href=\"https:\/\/pabau.com\/templates\/clinical-progress-notes\/\">Clinical progress notes<\/a> shows how to structure a note that carries its own justification.<\/p>\n                        <\/div>\n                                                                                <div class=\"item\">\n                            <div>\n                                <svg width=\"20\" height=\"27\" viewBox=\"0 0 20 27\" fill=\"none\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\">\n                                    <path\n                                        d=\"M18.6223 14.3857C19.1246 13.8975 19.1246 13.1045 18.6223 12.6162L12.1938 6.36621C11.6915 5.87793 10.8759 5.87793 10.3737 6.36621C9.87143 6.85449 9.87143 7.64746 10.3737 8.13574L14.6125 12.2529H2.28571C1.57455 12.2529 1 12.8115 1 13.5029C1 14.1943 1.57455 14.7529 2.28571 14.7529H14.6085L10.3777 18.8701C9.87545 19.3584 9.87545 20.1514 10.3777 20.6396C10.8799 21.1279 11.6955 21.1279 12.1978 20.6396L18.6263 14.3896L18.6223 14.3857Z\"\n                                        fill=\"#54B2D3\" \/>\n                                <\/svg>\n                            <\/div>\n                            <p><strong>Standardizing what you capture at intake?<\/strong> <a href=\"https:\/\/pabau.com\/templates\/history-and-physical-form\/\">History and physical form<\/a> gives you a template for the clinical history payers expect to see.<\/p>\n                        <\/div>\n                                                <\/div>\n        <\/div>\n    \n\n\n<h2 id=\"h-frequently-asked-questions\" class=\"wp-block-heading\">Frequently asked questions<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1786522292926\"><h3 class=\"schema-faq-question\">What is CPT code 21497 used for?<\/h3> <p class=\"schema-faq-answer\">CPT code 21497 reports interdental wiring performed for a therapeutic condition other than fracture. Typical indications are temporomandibular joint disorder, pre-surgical jaw stabilization, and orthognathic surgery preparation. It should not be billed when fracture is the primary indication, because fracture-related wiring uses codes from the 21315-21490 range.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786522292927\"><h3 class=\"schema-faq-question\">What ICD-10 codes are used with CPT 21497?<\/h3> <p class=\"schema-faq-answer\">Commonly paired ICD-10-CM codes are M26.60, M26.61, M26.69, and K07.5. They cover unspecified TMJ disorder, adhesions and ankylosis, other specified TMJ disorders, and dentofacial functional abnormalities. The paired diagnosis has to confirm a non-fracture condition. A fracture diagnosis code causes a descriptor conflict and a denial.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786522292928\"><h3 class=\"schema-faq-question\">What modifiers apply to CPT code 21497?<\/h3> <p class=\"schema-faq-answer\">Modifier -22 applies when the procedure involves substantially greater complexity than typical, and it requires documentation of the added difficulty. Modifier -51 applies when 21497 is reported alongside another surgical procedure in the same session. Modifier -59 identifies wiring that is distinct from another head or neck procedure that day. Modifiers -LT and -RT are generally not appropriate, because interdental wiring is a midline procedure.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786522292933\"><h3 class=\"schema-faq-question\">When is interdental wiring bundled into another procedure?<\/h3> <p class=\"schema-faq-answer\">Under CMS National Correct Coding Initiative policy, the wiring is sometimes included in the primary procedure. Facial fracture treatment, facial reconstructive surgery, and arthroplasty all absorb it. In those cases 21497 is not reported at all. Modifier -59 applies only when the wiring is a genuinely separate service, and the operative note has to show that separation.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786522292929\"><h3 class=\"schema-faq-question\">Is CPT 21497 covered by Medicare?<\/h3> <p class=\"schema-faq-answer\">Medicare may cover CPT code 21497 when medical necessity is documented and the non-fracture indication meets the applicable Local Coverage Determination criteria. Coverage is not guaranteed, and policies vary by MAC jurisdiction. TMJ-related procedures in particular are subject to LCD requirements that differ between regions.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786522292930\"><h3 class=\"schema-faq-question\">What is the difference between CPT 21497 and CPT 21110?<\/h3> <p class=\"schema-faq-answer\">CPT 21497 covers interdental wiring for non-fracture conditions. CPT 21110 covers application of an interdental fixation device, such as arch bars or Ivy loops, for conditions other than fracture or dislocation. The difference is the type of stabilization applied. The operative note should make clear which service was performed before the code is selected.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786522292931\"><h3 class=\"schema-faq-question\">What TMJ disorder billing codes apply alongside CPT 21497?<\/h3> <p class=\"schema-faq-answer\">TMJ disorder billing for 21497 most commonly uses M26.60 for unspecified TMJ disorder, M26.61 for adhesions and ankylosis, or M26.69 for other specified TMJ disorders. Confirm with the applicable MAC Local Coverage Determination that the specific disorder meets coverage criteria for surgical interdental wiring before you submit.<\/p> <\/div> <div class=\"schema-faq-section\" id=\"faq-question-1786522292932\"><h3 class=\"schema-faq-question\">What RVU value is assigned to CPT code 21497?<\/h3> <p class=\"schema-faq-answer\">Under the 2026 CMS Physician Fee Schedule, CPT code 21497 carries a work RVU of 5.68. The non-facility total RVU is approximately 11.62 and the facility total RVU is approximately 8.29. Verify current figures with the CMS Physician Fee Schedule lookup tool, since values update annually.<\/p> <\/div> <\/div>\n\n","protected":false},"excerpt":{"rendered":"<p>Bill CPT 21497 only for non-fracture wiring. Get 2026 RVUs, modifier -59 bundling rules, and the ICD-10 pairs payers accept.<\/p>\n","protected":false},"author":82,"featured_media":176234,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_yoast_wpseo_linkdex":"80","_yoast_wpseo_content_score":"30","_yoast_wpseo_is_cornerstone":"","_yoast_wpseo_keywordsynonyms":"[\"\",\"\",\"\",\"\"]","_yoast_wpseo_focuskw_text_input":"","_seo_original_html":"","footnotes":""},"categories":[1433,1546],"tags":[],"class_list":["post-176237","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-billing-codes","category-cpt-codes"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v28.2 (Yoast SEO v28.2) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>CPT code 21497: Modifiers, RVUs, and denial triggers<\/title>\n<meta name=\"description\" content=\"Bill CPT 21497 only for non-fracture wiring. 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Get 2026 RVUs, modifier -59 bundling rules, and the ICD-10 pairs payers accept.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-21497\/\" \/>\n<meta property=\"og:site_name\" content=\"Pabau\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/Pabau\/\" \/>\n<meta property=\"article:published_time\" content=\"2026-08-12T11:44:08+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-08-12T12:12:57+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/pabau.com\/wp-content\/uploads\/2026\/08\/cpt-code-21497.webp\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"630\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/webp\" \/>\n<meta name=\"author\" content=\"Maja Popovska\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:site\" content=\"@pabaucrm\" \/>\n<meta name=\"twitter:label1\" content=\"Escrito por\" \/>\n\t<meta name=\"twitter:data1\" content=\"Maja Popovska\" \/>\n\t<meta name=\"twitter:label2\" content=\"Tiempo de lectura\" \/>\n\t<meta name=\"twitter:data2\" content=\"12 minutos\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-21497\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-21497\\\/\"},\"author\":{\"name\":\"Maja Popovska\",\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#\\\/schema\\\/person\\\/b00aec1dd379f0ddcf6137d78e2a21db\"},\"headline\":\"CPT code 21497: Interdental wiring, modifiers, and reimbursement\",\"datePublished\":\"2026-08-12T11:44:08+00:00\",\"dateModified\":\"2026-08-12T12:12:57+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-21497\\\/\"},\"wordCount\":2624,\"publisher\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#organization\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-21497\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/cpt-code-21497.webp\",\"articleSection\":[\"Billing Codes\",\"CPT Codes\"],\"inLanguage\":\"es\"},{\"@type\":[\"WebPage\",\"FAQPage\"],\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-21497\\\/\",\"url\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-21497\\\/\",\"name\":\"CPT code 21497: Modifiers, RVUs, and denial triggers\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-21497\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/pabau.com\\\/es\\\/procedure-codes\\\/cpt-code-21497\\\/#primaryimage\"},\"thumbnailUrl\":\"https:\\\/\\\/pabau.com\\\/wp-content\\\/uploads\\\/2026\\\/08\\\/cpt-code-21497.webp\",\"datePublished\":\"2026-08-12T11:44:08+00:00\",\"dateModified\":\"2026-08-12T12:12:57+00:00\",\"description\":\"Bill CPT 21497 only for non-fracture wiring. 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A fracture diagnosis code causes a descriptor conflict and a denial.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-21497\/#faq-question-1786522292928","position":3,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-21497\/#faq-question-1786522292928","name":"What modifiers apply to CPT code 21497?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Modifier -22 applies when the procedure involves substantially greater complexity than typical, and it requires documentation of the added difficulty. Modifier -51 applies when 21497 is reported alongside another surgical procedure in the same session. Modifier -59 identifies wiring that is distinct from another head or neck procedure that day. Modifiers -LT and -RT are generally not appropriate, because interdental wiring is a midline procedure.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-21497\/#faq-question-1786522292933","position":4,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-21497\/#faq-question-1786522292933","name":"When is interdental wiring bundled into another procedure?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Under CMS National Correct Coding Initiative policy, the wiring is sometimes included in the primary procedure. Facial fracture treatment, facial reconstructive surgery, and arthroplasty all absorb it. In those cases 21497 is not reported at all. Modifier -59 applies only when the wiring is a genuinely separate service, and the operative note has to show that separation.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-21497\/#faq-question-1786522292929","position":5,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-21497\/#faq-question-1786522292929","name":"Is CPT 21497 covered by Medicare?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Medicare may cover CPT code 21497 when medical necessity is documented and the non-fracture indication meets the applicable Local Coverage Determination criteria. Coverage is not guaranteed, and policies vary by MAC jurisdiction. TMJ-related procedures in particular are subject to LCD requirements that differ between regions.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-21497\/#faq-question-1786522292930","position":6,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-21497\/#faq-question-1786522292930","name":"What is the difference between CPT 21497 and CPT 21110?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"CPT 21497 covers interdental wiring for non-fracture conditions. CPT 21110 covers application of an interdental fixation device, such as arch bars or Ivy loops, for conditions other than fracture or dislocation. The difference is the type of stabilization applied. The operative note should make clear which service was performed before the code is selected.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-21497\/#faq-question-1786522292931","position":7,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-21497\/#faq-question-1786522292931","name":"What TMJ disorder billing codes apply alongside CPT 21497?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"TMJ disorder billing for 21497 most commonly uses M26.60 for unspecified TMJ disorder, M26.61 for adhesions and ankylosis, or M26.69 for other specified TMJ disorders. Confirm with the applicable MAC Local Coverage Determination that the specific disorder meets coverage criteria for surgical interdental wiring before you submit.","inLanguage":"es"},"inLanguage":"es"},{"@type":"Question","@id":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-21497\/#faq-question-1786522292932","position":8,"url":"https:\/\/pabau.com\/es\/procedure-codes\/cpt-code-21497\/#faq-question-1786522292932","name":"What RVU value is assigned to CPT code 21497?","answerCount":1,"acceptedAnswer":{"@type":"Answer","text":"Under the 2026 CMS Physician Fee Schedule, CPT code 21497 carries a work RVU of 5.68. The non-facility total RVU is approximately 11.62 and the facility total RVU is approximately 8.29. Verify current figures with the CMS Physician Fee Schedule lookup tool, since values update annually.","inLanguage":"es"},"inLanguage":"es"}]}},"yoast":{"focus_keyword":"CPT code 21497","seo_title":"CPT code 21497: Modifiers, RVUs, and denial triggers","meta_description":"Bill CPT 21497 only for non-fracture wiring. Get 2026 RVUs, modifier -59 bundling rules, and the ICD-10 pairs payers accept.","content_score":"30","is_cornerstone":"","related_keyphrases":[{"keyword":"jaw wiring billing code","score":61},{"keyword":"TMJ disorder billing codes","score":61},{"keyword":"oral surgery CPT codes billing","score":56}]},"_links":{"self":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts\/176237","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/users\/82"}],"replies":[{"embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/comments?post=176237"}],"version-history":[{"count":3,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts\/176237\/revisions"}],"predecessor-version":[{"id":176720,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/posts\/176237\/revisions\/176720"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/media\/176234"}],"wp:attachment":[{"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/media?parent=176237"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/categories?post=176237"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pabau.com\/es\/wp-json\/wp\/v2\/tags?post=176237"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}